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PA HB1445

Bill

Status

Engrossed

6/25/2025

Primary Sponsor

Perry Warren

Click for details

Origin

House of Representatives

2025-2026 Regular Session

AI Summary

  • Health insurance policies in Pennsylvania cannot exclude coverage for medically necessary mental health, behavioral health, or speech therapy services solely because they are provided in a school setting

  • Covered school entities include public schools, charter schools, cyber charter schools, private schools, nonpublic schools, intermediate units, and area career and technical schools (excludes postsecondary institutions)

  • Insurers may still exclude coverage if the provider is unlicensed, the service is not medically necessary, or the school entity is legally obligated to provide the service under an IEP or Section 504 plan

  • Civil penalties for violations range up to $5,000 per action ($10,000 for willful violations), with a maximum of $500,000 per insurer per calendar year

  • Takes effect immediately upon enactment, applying to new policy filings or policies issued/renewed 180 days after the effective date

Legislative Description

Providing for school-based services; and, in telemedicine, further providing for insurance coverage of telemedicine.

Last Action

Referred to Banking & Insurance

6/25/2025

Committee Referrals

Banking & Insurance6/25/2025
Appropriations6/24/2025
Rules6/17/2025
Insurance6/10/2025

Full Bill Text

No bill text available